Biocompatible form and method of fabrication

ABSTRACT

A biocompatible form and a method for fabricating the implant are provided. The biocompatible form may be used to support bone graft material such as that used to reconstruct missing bone in a patient&#39;s oral cavity. The implant is fabricated from a biocompatible mesh, which may be made of titanium, a titanium alloy or fiber and is permanently implantable in the patient&#39;s oral cavity. The biocompatible form has an anatomical configuration which includes one or more portions conforming substantially to various alveolar bone contours which may include predetermined, human interproximal bone contours, root prominence bone contours and mylohyoid ridge bone contours. The biocompatible form may include a palatal section. The biocompatible form may also include one or more apertures for receiving a corresponding number of dental prostheses therethrough.

CROSS-REFERENCE TO RELATED APPLICATIONS

[0001] This is a division of U.S. patent application Ser. No. 10/012,652filed Oct. 30, 2001 and entitled “Biocompatible Form and Method ofFabrication”. U.S. patent application Ser. No. 10/012,652 is herebyexpressly incorporated by reference herein in its entirety

STATEMENT RE:FEDERALLY SPONSOREDRESEARCH OR DEVELOPMENT

[0002] Not Applicable.

REFERENCE TO A “MICROFICHE APPENDIX”

[0003] Not Applicable.

BACKGROUND OF THE INVENTION

[0004] 1. Field of the Invention

[0005] The present invention relates generally to bone implants and,more particularly, to biocompatible forms for use in supporting bonegraft material.

[0006] 2. Description of the Art

[0007] When a person experiences a loss of teeth due to trauma or othercircumstances, or has teeth with periodontal disease, there is often aloss of interproximal crestal alveolar bone. This bone loss may alsoresult in the loss of a person's interproximal or papillary oral tissuebetween the corresponding teeth and may cause a bone defect that is veryunappealing aesthetically, and difficult to restore. The greater theatrophy of this alveolar bone, in either the maxilla or mandible, theless predictable the regeneration of this bone will be using currentgrafting procedures and associated structures, including those which areeither permanently or temporarily implanted. Without the properregeneration of this bone defect, any replacement tooth is likely to bemal-positioned, out of proportion and shape and form and lackinterproximal tissue for a natural appearance.

[0008] The loss of teeth or periodontal disease may also result in theloss of root prominence alveolar bone, in either the maxilla ormandible. In the case of the mandible, the loss of teeth or periodontaldisease may also result in a loss of mylohyoid ridge bone on either oneor both sides of the mandible. Loss of root prominence alveolar bone ormylohyoid ridge bone further complicates the ability of the dentist toproperly regenerate the lost bone and makes it more likely that theartificial tooth will be improperly positioned since the correspondingdental implant or support structure is supported by the root prominencebone and, depending on the particular tooth, may also be supported bythe mylohyoid ridge bone.

[0009] Many attempts have been made to regenerate normal bone height andcontours ranging from block grafts of bone, to grafts supported byscrews or other metal supports. Known conventional graft techniques havefailed to regenerate bone contours predictably and often result inplacing grafted bone in locations where it is not needed, or regeneratebone that is over or under contoured. This often causes the patient tohave multiple tissue and bone surgeries to correct the contours of thefirst graft.

[0010] One of the main goals in any attempt to replace a missing toothis to position the tooth so that it will restore the natural appearancesof the surrounding support bone and tissue. However, with the lack ofbone in the atrophied maxilla or mandible, these criteria are impossibleto accomplish and the results are poor with known techniques anddevices. In these cases the dentist is required to restore the missingteeth and tissue contours with an artificial prosthesis, which replacesbone and soft tissue and tooth structure and may be supported byimplants. The tissue and the tooth position are corrected by theprosthesis and not by the bone graft. No existing grafting techniqueattempts to restore the important interproximal scalloped bone contoursthat are critical to the proper placement of dental implants andaesthetics. One of the main problems associated with conventionalmethods for replacing teeth with implants is the creation of a “blackhole” defect between teeth. This results from the lack of bone andtissue between the restored teeth and is very unnatural and is notaesthetically appealing to the patient.

[0011] Additional problems exist with known techniques associated withdental implants and bone grafts. For instance, dental implants are oftenplaced in available bone or grafted bone that may not be in the properposition where teeth should be placed. The proper placement may actuallybe outside the dimensions of the bone. In these cases, if implants areplaced in this bone, the dentist is forced to use advanced prosthetictechniques, such as angled abutments, longer transcutaneous abutmentsand/or custom cast abutments and frameworks to place a crown on animplant in an unnatural position. Usually, the defect is so great thatthe only prosthesis that can be used is the implant-supported denture,which artificially restores bone, tissue and tooth structure for thepatient.

[0012] In view of the foregoing deficiencies associated with knowndevices and methods for regenerating dental bone in order to replacemissing teeth, there remains a need for a biocompatible form andassociated method for use in supporting bone graft material so thatmissing alveolar bone is restored to its natural contours therebypermitting dental implants to be placed in the exact position where themissing teeth were originally positioned in the skeletal bone, andallowing missing teeth to be replaced in their natural position.

BRIEF SUMMARY OF THE INVENTION

[0013] In view of the foregoing needs, the present invention is directedto a biocompatible form, which may be permanently implanted in apatient's oral cavity for use in supporting bone graft material, and amethod of fabricating the biocompatible form. The biocompatible form maybe advantageously utilized in either intraosseous or subperiostealapplications and the configuration of the various embodiments of thebiocompatible form permit the regeneration of the scalloped alveolarbone to normal skeletal contours, for either the maxilla or mandible,thereby permitting the restoration of missing teeth in their correctposition. More particularly, the biocompatible form of the presentinvention permits the regeneration of normal interproximal bone andtissue for an aesthetic appearance, thereby avoiding the “black hole”problems associated with conventional bone grafting techniques.Additionally, the biocompatible form permits the regeneration of rootprominence root bone contours and mylohyoid ridge bone contours whichcontribute to the proper placement of the replacement teeth. The variousconfigurations of the biocompatible form of the present invention permita dentist to accurately place the bone graft material and add structuralsupport during healing to reproduce the alveolar bone contours requiredto place the replacement teeth and the associated implants in thecorrect position.

[0014] According to a first aspect of the present invention, abiocompatible form is provided which may be permanently implanted in apatient's oral cavity for use in supporting bone graft material. Thebiocompatible form of the present invention is configured such that oneor more portions conform to various alveolar bone contours. Forinstance, at least a portion of the biocompatible form may be configuredto conform substantially to a predetermined, human interproximal bonecontour, a root prominence bone contour, a palatal contour, a mylohyoidridge bone contour, a maxillary facial contour, a maxillary lingualcontour, a mandibular facial contour or a mandibular lingual contour.

[0015] According to a preferred embodiment, the biocompatible form ismade of a first side portion, a second side portion and a connectingportion extending between and interconnecting the first and second sideportions. The biocompatible form is open opposite the connecting portionand further includes open ends.

[0016] The first and second side portions and the connecting portioncombine to define an interior channel, with the interior channel beingsized and configured to receive at least a portion of an edentulousridge of the patient and at least a portion of the bone graft materialtherewithin. The connecting portion of the biocompatible form includesat least one protruding portion, with each of the protruding portionsbeing configured to conform substantially to a predetermined, humaninterproximal bone contour. The first side portion, second side portionand connecting portion are made of a biocompatible mesh. In oneembodiment, the biocompatible form is a metal mesh, which may befabricated from titanium or a titanium alloy and, in another embodiment,the biocompatible form is a fiber mesh, which may be fabricated fromcollagen.

[0017] In another embodiment, the biocompatible form can be configuredto receive at least one dental prosthesis therethrough, with thebiocompatible form further made of at least one aperture formed in theconnecting portion of the biocompatible form and with each aperturesized to receive one of the dental prostheses therethrough. Eachaperture is positioned intermediate an adjacent pair of the protrudingportions.

[0018] In another embodiment, the first side portion of thebiocompatible form may include at least one outwardly protrudingportion, with each of these portions being configured to conformsubstantially to a predetermined human root prominence bone contour. Inthis embodiment, the second side portion may include at least oneoutwardly protruding portion, with each of the outwardly protrudingportions being configured to conform substantially to a human rootprominence bone contour, and with each of the outwardly protrudingportions of the second side portion being aligned with one of theoutwardly protruding portions of the first side portion.

[0019] In those embodiments where the first and second side portions ofthe biocompatible form include at least one outwardly protruding portionconforming substantially to predetermined human root prominence bonecontours, each of the apertures is aligned with an aligned pair of theprotruding portions of the first and second side portions, which permitseach dental prosthesis to be implanted in an area of regenerated rootprominence bone.

[0020] In yet another embodiment, having an application for regeneratingthe alveolar bone of a patient's mandible, the channel is sized andconfigure to receive a portion of a predetermined mandibular edentulousridge. The second side portion may include at least one outwardlyprotruding each outwardly protruding of these portions being configuredto conform substantially to a predetermined, human mylohyoid ridge bonecontour.

[0021] In yet another embodiment, where the edentulous ridge of thepatient is a maxillary ridge, the biocompatible form may further includea palatal portion integral with and extending away from the second sideportion. The palatal portion being configured to conform substantiallyto a predetermined, human palatal bone contour.

[0022] The biocompatible mesh includes a first surface facing toward theinterior channel of the biocompatible form and a second surface facingaway from the interior channel. In those embodiments where the metalmesh is fabricated from either titanium or a titanium alloy, the firstsurface of the mesh may be sand-blasted and subsequently acid-etched toenhance adherence of the bone graph material to the biocompatible form.This applies to bone implants having either intraosseous orsubperiosteal applications. Additionally, in intraosseous applications,the second surface of the mesh screen may also be sand-blasted andsubsequently acid-etched to enhance the adherence of the bone graftmaterial to the bone implant. With regard to subperiosteal applications,the second surface of the mesh may be polished to enhance adherence ofthe patient's oral mucosal tissue to the biocompatible form.Additionally, in these embodiments, the second surface of the mesh maybe treated with titanium nitrate after the surface is polished foraesthetic purposes.

[0023] According to a second aspect of the present invention, a methodis provided for fabricating a bone implant which may be permanentlyimplanted in a patient's oral cavity for use in supporting bone graftmaterial. According to one preferred embodiment, the method comprisesthe steps of acquiring a biocompatible mesh, creating a solid cast moldof an edentulous mandibular or maxillary ridge of a human cadaver skullwhich includes normal alveolar bone contours, and forming thebiocompatible mesh to substantially conform to the contours of the solidcast mold including the contours of the mold corresponding to the normalalveolar bone contours of the human cadaver skull.

[0024] The step of forming may involve the step of press fitting thebiocompatible mesh to the solid cast mold. The step of acquiring mayinclude the step of selecting the biocompatible mesh from one oftitanium, a titanium alloy and a fiber material.

[0025] The method of the present invention may be used to fabricate abiocompatible form having application as either an intraosseous implantor a subperiosteal implant. With either application, when thebiocompatible mesh is made of either titanium or a titanium alloy, themethod of the present invention may further include the steps ofsandblasting a first surface of the biocompatible mesh which faces aninterior channel defined by the mesh, and subsequently acid-etching thefirst surface of the mesh after the step of sandblasting, to enhance theadherence of the bone graft material to the biocompatible form. Forbiocompatible forms having intraosseous application, the method of thepresent invention may further include the steps of sandblasting a secondsurface of the biocompatible mesh which faces away from the interiorchannel, and acid-etching the second surface of the mesh after the stepof sandblasting, also for the purpose of enhancing the adherence of thebone graft material to the biocompatible form.

[0026] In the instances where the biocompatible form is to be used forsubperiosteal applications, the method of the present invention mayfurther include the step of polishing the second surface of thebiocompatible mesh to enhance adherence of the patient's oral mucosaltissue to the implant. In this embodiment, the method of the presentinvention may further include the step of treating the second surface ofthe biocompatible mesh with titanium nitrate, for aesthetic purposes.

[0027] According to another aspect of the invention, the biocompatibleform can be customized to further conform to at least a portion of thealveolar bone contours of the patient's edentulous ridge. This methodincludes the steps of taking a CAT Scan of at least one of a patient'smaxillary or mandibular ridge, which comprises an edentulous ridge, andfabricating a resin mold of the patient's edentulous ridge from anoutput of the CAT Scan.

[0028] The method of the present invention may also further involve thesteps of taking an impression of a dental arch of the patient which isdisposed in opposing relationship with the edentulous ridge of thepatient and making a dental stone mold of the patient's dental arch. Inthis embodiment, the method further involves the steps of mounting theresin mold of the patient's edentulous ridge and the dental stone moldof the patient's opposing dental arch on a dental articulator, with theresin mold including an area corresponding to one or more missing teeth,and occluding a coronal portion of at least one tooth to the dental moldin a position opposite the area of missing teeth on the resin mold.

[0029] The method may further include the steps of positioning theformed biocompatible mesh on the resin mold over the area correspondingto one or more missing teeth and closing the dental articulator suchthat the dental stone mold is disposed in close proximity to the resinmold and the mesh screen.

[0030] According to another aspect of this invention, an intraosseousdental implant which is permanently implanted in a patient's oral cavityis provided. This dental implant is made of a membrane barrier layer, abone graft material and a biocompatible form. This implant involves themembrane barrier layer substantially covering the bone graft material,the membrane barrier layer contacting a patient's oral mucosal tissue;the bone graft material substantially covering a biocompatible form, thebiocompatible form having a first side portion, a second side portionand a connecting portion extending between and interconnecting the firstand second side portions, the biocompatible form being open opposite theconnecting portion and further including open ends, the first and secondside portions and the connecting portion combining to define an interiorchannel, the interior channel being sized and configured to receive atleast a portion of an edentulous ridge of the patient and at least aportion of the bone graft material therewithin; and the connectingportion including at least one protruding portion being configured toconform substantially to a predetermined, human interproximal bonecontour; and at least a portion of the bone graft material disposedtherewith the biocompatible form.

[0031] According to another aspect of this invention, a subperiostealdental implant which is permanently implanted in a patient's oral cavityis provided. This dental implant is made of a membrane barrier layer,bone graft material and a biocompatible form. This implant involves themembrane barrier layer substantially covering the biocompatible form,the membrane barrier layer contacting a patient's oral mucosal tissue;the biocompatible form comprising a first side portion, a second sideportion and a connecting portion extending between and interconnectingthe first and second side portions, the biocompatible form being openopposite the connecting portion and further including open ends, thefirst and second side portions and the connecting portion combining todefine an interior channel, the interior channel being sized andconfigured to receive at least a portion of an edentulous ridge of thepatient and at least a portion of the bone graft material therewithin,the connecting portion including at least one protruding portion beingconfigured to conform substantially to a predetermined, humaninterproximal bone contour, and at least a portion of the bone graftmaterial disposed therewith the biocompatible form.

[0032] According to another aspect of this invention, an intraosseousdental implant which is permanently implanted in a patient's oral cavityis provided. This dental implant is made of a membrane barrier layer,bone graft material and a biocompatible form. This implant involves themembrane barrier layer substantially covering the bone graft material,the membrane barrier layer contacting a patient's oral mucosal tissue;the bone graft material substantially covering a biocompatible formcomprising a first side portion, a second side portion and a connectingportion extending between and interconnecting the first and second sideportions, the biocompatible form being open opposite the connectingportion and further including open ends, the first and second sideportions and the connecting portion combining to define an interiorchannel, the channel being sized and configured to receive at least aportion of an edentulous ridge of the patient and at least a portion ofthe bone graft material therewithin; the first side portion including atleast one outwardly protruding portion, each the outwardly protrudingportion being configured to conform substantially to a predetermined,human root prominence bone contour; the second side portion includes atleast one outwardly protruding portion, each the outwardly protrudingportion being configured to conform substantially to a predetermined,human root prominence bone contour; and the first side portion, thesecond side portion and the connecting portion being made of abiocompatible mesh; and at least a portion of bone graft materialdisposed therewith the biocompatible form.

[0033] According to another aspect of this invention, a subperiostialdental implant which is permanently implanted in a patient's oral cavityis provided. This dental implant is made of a membrane barrier layer,bone graft material and a biocompatible form. This implant involves themembrane barrier layer substantially covering a biocompatible form, themembrane barrier layer contacting a patient's oral mucosal tissue, thebiocompatible form comprising a first side portion, a second sideportion and a connecting portion extending between and interconnectingthe first and second side portions, the biocompatible form being openopposite the connecting portion and further including open ends, thefirst and second side portions and the connecting portion combining todefine an interior channel, the channel being sized and configured toreceive at least a portion of an edentulous ridge of the patient and atleast a portion of the bone graft material therewithin; the first sideportion including at least one outwardly protruding portion, each theoutwardly protruding portion being configured to conform substantiallyto a predetermined, human root prominence bone contour; the second sideportion includes at least one outwardly protruding portion, each theoutwardly protruding portion being configured to conform substantiallyto a predetermined, human root prominence bone contour; and the firstside portion, the second side portion and the connecting portion beingmade of a biocompatible mesh; and at least a portion of bone graftmaterial being disposed therewithin the biocompatible form.

[0034] Another aspect of this invention provides a surgical kitincluding a sterilizable container adapted to contain articles. This kitcan include a biocompatible form which may be permanently implanted in apatient's oral cavity for use in supporting bone graft material; thebiocompatible form includes a first side portion, a second side portionand a connecting portion extending between and interconnecting the firstand second side portions, the biocompatible form being open opposite theconnecting portion and further including open ends, the first and secondside portions and the connecting portion combining to define an interiorchannel, the interior channel being sized and configured to receive atleast a portion of an edentulous ridge of the patient and at least aportion of the bone graft material therewithin; the connecting portionincluding at least one protruding portion, each of the protrudingportion being configured to conform substantially to a predetermined,human interproximal bone contour or portions thereof. The kit furtherincludes a plurality of devices adapted to attach the biocompatible formto a patient's edentulous ridge and dental tools, such as a pair ofmolding pliers and a pair of scissors.

BRIEF DESCRIPTION OF THE DRAWINGS

[0035] These and other features, aspects and advantages of the presentinvention will become better understood with regard to the followingdescription, appended claims and accompanying drawings, wherein:

[0036]FIG. 1 is a front elevation view of upper “maxillary” arch ofhuman skull with several teeth missing;

[0037]FIG. 2 is a cross-sectional view taken along line 2-2 in FIG. 1.

[0038]FIG. 3 is a cross-sectional view taken along line 3-3 in FIG. 1.

[0039]FIG. 4 is cross-sectional view taken along line 4-4 in FIG. 1.

[0040]FIG. 5 is a front elevation view similar to FIG. 1, but with boneloss shown due to missing teeth.

[0041]FIG. 6 is a front elevation view of bottom “mandibular” arch ofhuman skull with several teeth missing;

[0042]FIG. 7 is a rear elevation view of the arch shown in FIG. 6, forthe purpose of illustrating the mylohyoid ridge which appears on eitherside of the arch;

[0043]FIG. 8 is a perspective view of first embodiment of thebiocompatible form of the present invention corresponding to a fullupper “maxillary” dental arch;

[0044]FIG. 9 is another perspective view of first embodiment of thebiocompatible form of the present invention corresponding to a fullupper “maxillary” dental arch;

[0045]FIG. 10 is a top plan view of first embodiment of biocompatibleform shown in FIG. 8;

[0046]FIG. 11 is a front elevation view of first embodiment shown inFIG. 8;

[0047]FIG. 12 is a rear elevation view of first embodiment shown in FIG.8;

[0048]FIG. 13 is a left side elevation of view of first embodiment shownin FIG. 8;

[0049]FIG. 14 is a cross-sectional view taken along line 14-14 in FIG.11;

[0050]FIG. 15 is a cross-sectional view taken along line 15-15 in FIG.11.

[0051]FIG. 16 is a perspective view of second embodiment ofbiocompatible form of present invention, which includes a portioncorresponding to the palate in the upper mouth.

[0052]FIG. 17 is a top plan view of embodiment shown in FIG. 16;

[0053]FIG. 18 is a rear view further illustrating palatal area of theembodiment shown in FIGS. 16 and 17.

[0054]FIG. 19 is a perspective view of the third embodiment of presentinvention corresponding to upper, anterior quadrant portion of thebiocompatible form.

[0055]FIG. 20 is a perspective view of fourth embodiment ofbiocompatible form of present invention corresponding to a customizedleft posterior quadrant of upper dental arch;

[0056]FIG. 21 is a perspective view of fifth embodiment of biocompatibleform of present invention corresponding to an anterior quadrant of theupper dental arch;

[0057]FIG. 22 is a perspective view of sixth embodiment of biocompatibleform of present invention corresponding to a full lower dental arch;

[0058]FIG. 23 is a fragmentary view of the embodiment shown in FIG. 22,to further illustrate the mylohyoid ridge bone contour.

[0059]FIG. 24 is a plan view of titanium mesh sheet;

[0060]FIG. 25 is a front elevation view of a dental articulatorillustrating the following features: lower arch casting with full set ofteeth; resin mold of upper dental arch, created from computer model andillustrating areas of missing teeth; crown portion bonded tocorresponding lower teeth; mesh implant installed on upper arch, anillustration of bone graft material and portion of the articulator;

[0061]FIG. 26 is a front elevation view of a dental implant of thepresent invention.

[0062]FIG. 27 is a top view of dental implant shown in FIG. 26.

[0063]FIG. 28 is a cross-sectional view taken along line 28-28 in FIG.26.

[0064]FIG. 29 is a front elevation view of another embodiment of adental implant of the present invention.

[0065]FIG. 30 is a cross-sectional view taken along line 30-30 in FIG.29.

[0066]FIG. 31 is a plan view of a surgical kit made according to thepresent invention.

DETAILED DESCRIPTION OF THE INVENTION

[0067] Referring now to the drawings, wherein like reference numeralshave been used for similar elements throughout, FIGS. 1-3 are views ofan upper i.e., maxillary arch 10 of a human skull 12 which includes aplurality of teeth 14. As shown in FIG. 1, the maxillary arch 10 ismissing several teeth in the front, or anterior quadrant. The maxillaryarch 10 further includes a plurality of circumferentially spacedinterproximal bone contours 16 which are very important in positioningthe teeth 14 in a vertical and horizontal direction. The plurality ofinterproximal bone contours 16 shown in FIG. 1 in the anterior quadrantwhere the teeth are missing, are illustrated as representing humaninterproximal bone contours. A contour is a curving or an irregularfeature such as the shape of the surface. For example, as shown in FIGS.2 and 3, bones such as the interproximal bone 24 and the root prominencebone 26 form alveolar bone contours, such as an interproximal bonecontour 16 and a root prominence bone contour 18.

[0068] As may be further appreciated by reference to FIG. 1, themaxillary arch 10 includes a plurality of circumferentially spaced areasknown as root prominence bone contours 18. The root prominence bonecontours 18 are formed by root prominence bones 26. The plurality ofroot prominence bone contours 18 shown in FIG. 1 are illustrated asrepresenting human root prominence bone contours. A maxillary facialbone contour 20 includes a plurality of root prominence bone contours18, a plurality of the interstitial spaces 17 between root prominencebone contours 18, and a plurality of interproximal bone contours 16 onthe facial side of the jaw. Maxillary facial bone contour 20 is seen ona patient's face.

[0069]FIG. 2 is a cross-sectional view through the mid-lineinterproximal bone 24. In FIG. 2 the maxillary lingual bone contour 22is shown. A maxillary lingual bone contour 22 includes a plurality ofroot prominence bone contours 18, the interstitial space 17 between rootprominence bone contours 18, and a plurality of interproximal bonecontours 16 on the lingual side of the jaw. FIG. 3 is a cross-sectionalview through the root prominence bone 26. The maxillary lingual bonecontours 22 is also shown in this view.

[0070] Now referring to FIG. 4, a horizontal cross section through themaxillary arch 10 is shown. The bone 28 covering the root of the tooth14 is the bone-forming root prominence bone contour 18. The plurality ofroot prominence bone contours 18 shown in FIG. 1 are illustrated asrepresenting normal human root prominence bone contours 18. This figurealso shows the maxillary lingual bone contour 22 and the maxillaryfacial bone contour 20. It should be noted that the size and shape ofthe root prominence bone contour 18 varies depending on the size andshape of the root prominence bone 26.

[0071] Now referring to FIG. 5, a front elevational view of an upperi.e. maxillary arch 10 of a human skull 12 is shown, in this view, theinterproximal bone contour 16 and the root prominence bone contour 18have been removed to simulate the loss of bone in this area as theresult of trauma or atrophy. This area is known as the edentulous ridge30.

[0072]FIG. 6 is a front elevation view of a lower, i.e. a mandibulararch 32 of a human skull 12, which includes a plurality of teeth 14. Asshown in FIG. 6, the mandibular arch 32 is missing several teeth in thefront, or anterior quadrant. The mandibular arch 32 includes a pluralityof circumferentially spaced interproximal bone contours 16 which arevery important in positioning teeth in a vertical and horizontaldirection. The particular interproximal bone contours 16 in the anteriorquadrant where the teeth are missing are illustrated as representinghuman interproximal bone contours 16. The mandibular arch 32 includes aplurality of circumferentially spaced areas known as root prominencebone contours 18. A mandibular facial bone contour 23 includes aplurality of root prominence bone contours 18 a plurality ofinterstitial spaces 17 between root prominence bone contours 18, and aplurality of interproximal bone contours 16 on the facial side of thejaw.

[0073] On the lingual side of the jaw as shown in FIG. 7, a plurality ofmylohyoid ridge bone contours 38 are shown in FIG. 7. The plurality ofmylohyoid ridge bone contours 38 shown in FIG. 7 illustrate normal humanmylohyoid ridge bone contours 38. Now referring to FIG. 7, a lingualview of FIG. 6 is shown, including the mandibular lingual bone contour34. A lingual bone contour 34 includes a plurality of root prominencebone contours 18, a plurality of interstitial spaces 17, a plurality ofinterproximal bone contours 16 and a mylohyoid ridge bone contour 38 onthe lingual side of the jaw.

[0074]FIGS. 8 and 9 are perspective views of one of the biocompatibleforms of the present invention. The biocompatible form 40 is implantedinto a patient to from a bone implant. This bone implant restoresvarious alveolar bone contours and facilitates the implantation of adental prosthesis. The biocompatible form 40 is filled with bone graftmaterial to provide a bone implant. The bone graft material is placedinside of the biocompatible form 40 and then secured to an edentulousridge 30 of the patient which corresponds to a full arch. A plurality ofapertures 52 in the biocompatible form 40 are present to allow theplacement of a dental prosthesis therethrough that would restore theactual tooth. More specifically, the biocompatible form 40 is made of afirst side portion 42 (on the facial side), a second side portion 44 (onthe lingual side), and a connecting portion 46 extending between andinterconnecting the first 42 and second 44 side portions. Thebiocompatible form 40 is open opposite the connecting portion andfurther includes open ends 48. The first side portion 42, whichcorresponds to the facial side, the second side portion 44 whichcorresponds to the lingual side, and the connecting portion 46 define aninterior channel 50. The interior channel 50 is sized to receive aportion of the patient's edentulous ridge 30 and at least a portion of abone graft material.

[0075] The biocompatible form 40 is configured such that one or moreportions conform to various alveolar bone contours. For example, atleast a portion of the biocompatible form may be configured to conformsubstantially to a predetermined human interproximal bone contour 16, aroot prominence bone contour 18, a mylohyoid ridge bone contour 38, amaxillary facial bone contour 20, a mandibular facial bone contour 23, amaxillary lingual bone contour 22 and a mandibular lingual bone contour34.

[0076] More specifically, each biocompatible form described in thisinvention includes at least one protruding portion 54, each of theprotruding portion 54 being configured to conform substantially to apredetermined human interproximal bone contour 16. When multipleprotruding portions 54 exist, each of the apertures 52 are positionedcircumferentially intermediate an adjacent pair of the protrudingportions 54. The plurality of protruding portions 54 arecircumferentially spaced from one another as shown in FIG. 9.

[0077] The biocompatible form 40 further includes at least one aperture52 formed in the connecting portion 46 of the biocompatible form 40 andwith each aperture 52 sized to receive one of the dental prosthesestherethrough. The aperture can have a variety of shapes, as they aresized to receive a dental prosthesis. When multiple protruding portions54 exist, each of the apertures 52 is positioned circumferentiallyintermediate an adjacent pair of the protruding portions. The protrudingportions being configured to conform substantially to a predeterminedhuman interproximal bone contour 16.

[0078] The biocompatible form 40 includes an outer surface 74 that facesaway from channel 50 and an inner surface 76 that faces toward channel50. Depending on the application of the biocompatible form 40, i.e. foruse in an intraosseous implant or a subperiosteal implant, the outersurface 74 and inner surface 76 are treated differently. This method tomake the biocompatible form 40 will be discussed in more detail in alater section.

[0079] Still referring to FIG. 9, this figure shows outwardly protrudingportions 56 in the first side 42, the facial side. Each of the outwardlyprotruding portions 56 conform substantially to a predetermined, humanroot prominence bone contour 18. The term “predetermined” means that thecontour of the biocompatible form is shaped to conform to arepresentative human skull from an adult male, adult female or a child.Now referring to FIG. 10, top plan view of a biocompatible form 40 isshown. This figure shows outwardly protruding portions 58 in the secondside portion 44, the lingual side. Each of the outwardly protrudingportions 58 conforms substantially to a predetermined human rootprominence bone contour 18. Each of the outwardly protruding portions 58of the second side portion 44 being aligned with one of the outwardlyprotruding portions 56 of the first side portion 42. This alignmentfacilitates the proper alignment of the dental prosthesis.

[0080]FIG. 10 also shows apertures 52 formed in the connecting portion46. Each aperture 52 being sized to receive one of the dental prosthesistherethrough. Each aperture 52 being aligned with one of the outwardlyprotruding portions 56 of the first side portion 42 and aligned with oneof the outwardly protruding portions 58 of the second side portion 44.

[0081] Now referring to FIG. 11, a frontal view of the biocompatibleform 40 is shown, including particularly the protruding portions 54being configured to conform substantially to a predetermined, humaninterproximal bone contour 16. FIG. 11 also shows the first side portion42 including a plurality of outwardly protruding portions 56, each ofthe outwardly protruding portions being configured to conformsubstantially to a predetermined human root prominence bone 18 contour(shown in FIG. 2). FIG. 11 also shows aperture 52, sized to receive oneof the dental prothesis therethrough.

[0082]FIG. 12 is a rear view of the biocompatible form 40. This viewshows the outwardly protruding portions 58 that conform substantially toa lingual contour 22 of a predetermined human root prominence bone 18contour (shown in FIG. 1).

[0083]FIG. 13 is a left-sided, or left quadrant view of a biocompatibleform. FIG. 14 is a cross-sectional view of an anterior section goingthrough the interproximal section of the biocompatible form 40 of FIG. 8at 14-14. FIG. 15 is a similar view going through the root prominenceportion of FIG. 8 at 15-15. In the embodiment, shown in FIGS. 16-18, apalatal section 61 of mesh is added to biocompatible form 40, asdescribed previously, to form a biocompatible form 60 useful in thereconstruction of palatal defects. More specifically, the biocompatibleform 60 may further include a palatal portion 61 integral with andextending away from the second side portion 44, i.e. the lingual side.The palatal portion 61 has an arcuate shape conforming substantially toa predetermined human palatal bone contour. In this embodiment, thesecond side portion 44 includes a proximal portion 63 integral with theconnecting portion and a distal portion 65 opposite the proximalportion. The palatal portion 61 of the biocompatible form 60 is integralwith the distal portion 65 of the second side portion 44.

[0084] The biocompatible form 60 is configured such that one or moreportions conform to various alveolar bone contours. For example, atleast a portion of the biocompatible form may be configured to conformsubstantially to a predetermined human interproximal bone contour 16, aroot prominence bone contour 18, a maxillary facial bone contour 20, ora maxillary lingual bone contour 22.

[0085] In yet another embodiment as shown in FIGS. 22 and 23, having anapplication for regenerating the alveolar bone of a patient's mandible,the second side portion 44 may include at least one outwardly protrudingand circumferentially extending portion 38 with each of these portionsbeing configured to conform substantially to a predetermined, humanmylohyoid ridge bone contour 38. The biocompatible form 70, shown inFIGS. 22 and 23, is configured such that one or more portions conform tovarious alveolar bone contours. For example, at least a portion of thebiocompatible form 70 may be configured to conform substantially to apredetermined human interproximal bone contour 16, a root prominencebone contour 18 and a mylohyoid ridge bone contour 38, a maxillaryfacial bone contour 20, a mandibular facial bone contour 23, amandibular lingual bone tour 34 and a maxillary bone contour 22.

[0086] In another embodiment of the invention, portions of thebiocompatible form 40 and 70 are provided. In FIG. 19, for example, ananterior quadrant section of biocompatible form 64 is shown. Morespecifically, an anterior implant going from the right cuspid to theleft cuspid area in a maxilla is shown. The quadrant section of thebiocompatible form 64 includes on the first side portion 42 outwardlyprotruding portion 56, on the second side portion 44, outwardlyprotruding portion 58 (not shown) and protruding portion 54. The outersurface 74 and inner surface 76 of the quadrant section of thebiocompatible form 64 are also shown. FIG. 20 is the side view on a leftquadrant section 66 of a biocompatible form 40. FIG. 21 is a customizedanterior implant 62 going from the right lateral incisor to the leftlateral incisor, including both centrals.

[0087] The biocompatible forms 40, 60 and 70 are made of biocompatiblemetal mesh such as titanium and/or titanium alloy or stainless steel, ora fibrous mesh, such as a collagen mesh. An example of a sheet of meshis shown in FIG. 24. The mesh may also be formed from metal perforatedwith holes. The biocompatible form 40, 60 and 70 are pre-formed to thenormal contours of the alveolar bone by press fitting the mesh to atitanium replica model of a normal edentulous ridge with alveolar bonecontours. The titanium replica model is formed from an adult male, anadult female, or older child's skull. The biocompatible forms 40, 60 and70 are configured to conform substantially to predetermined, humaninterproximal bone contours.

[0088] The biocompatible forms 40, 60 and 70 include a first facial side42 and a second side lingual 44 connected by a connecting portion 46.Each side has an outer surface 74 and an inner surface 76. The outersurface 74 faces the facial or lingual side of the form and the innersurface 76 faces the interior channel 50. In those embodiments where thebiocompatible forms 40, 60 and 70 are made of a metal wire mesh screenfabricated from either titanium or a titanium alloy, the inner 76surfaces of the mesh screen may be sandblasted and subsequentlyacid-etched to enhance adherence of the bone graft material to thebiocompatible form 40, 60 and 70. This applies to biocompatible forms 40having either intraosseous or subperiosteal applications. Additionally,in intraosseous applications, the outer 74 surfaces of the biocompatibleform 40, 60 and 70 may also be sandblasted and subsequently acid-etched,according to conventional procedures, to enhance the adherence of thebone graft material to the biocompatible form 40 and 70. With regard tosubperiosteal applications, the outer 74 surfaces of the biocompatibleform 40 may be satin polished with a polishing wheel to enhanceadherence of the patient's oral mucosal tissue to the dental implant.Additionally, in these embodiments, the outer 74 surfaces of thebiocompatible form 40 may be treated with titanium nitrate after thesurface is polished for aesthetic purposes to prevent a metal, such astitanium from showing through the tissue.

[0089] According to a second aspect of the present invention, a methodis provided for fabricating biocompatible forms 40, 60 and 70, which maybe permanently implanted in a patient's oral cavity for use insupporting bone graft material. According to one preferred embodiment,the method involves the steps of acquiring a biocompatible screen,creating a solid cast mold of an edentulous mandibular or maxillaryridge of a human cadaver skull which includes normal alveolar bonecontours, and forming the biocompatible screen to substantially conformto the contours of the solid cast mold including the contours of themold corresponding to the normal alveolar bone contours of the humancadaver skull. The step of forming may involve the step of press fittingthe biocompatible screen to the solid cast mold. The step of acquiringmay involve the step of selecting the biocompatible mesh from one oftitanium, a titanium alloy, wire mesh and a fiber mesh.

[0090]FIG. 25 is a representation of a technique for customizing thebiocompatible form 40 to conform to at least a portion of the alveolarbone contours of a particular patient's edentulous ridge. First, anendentuolus ridge 30 is shown, next to the normal maxillary arch 10, anarea that represents the grafted bone material 80 is shown, and goingfurther to the right, the biocompatible form 62 is shown. In thisfigure, the replacement of the missing teeth of the laterals and thecentrals 82 are also shown.

[0091] More particularly, this method involves the steps of taking a CATscan of at least one of a patient's maxillary or mandibular ridge, whichincludes an edentulous ridge 30, and fabricating a resin mold 84 of thepatient's edentulous ridge from an output of the CAT scan. The method ofthe present invention may also further involve the steps of taking animpression of a dental arch 86 of the patient which is disposed inopposing relationship with the edentulous ridge 30 of the patient andmaking a dental stone mold of the patient's dental arch 86. In thisembodiment, the method further involves the steps of mounting the resinmold 84 of the patient's edentulous ridge 30 and the dental stone moldof the patient's opposing dental arch on a dental articulator with theresin mold 84 including an area corresponding to one or more missingteeth, and occluding a coronal portion of at least one tooth 82 to thedental stone mold in a position opposite the area of missing teeth onthe resin mold. A dental articulator is a device that can simulatemovements of the jaw. This articulated relationship of the edentulousresin cast to the dental stone mold of the patients' opposing dentalarch allows for customization of the mesh to incorporate the uniquecontours, for example, of the interproximal bone contour, rootprominence bone contour, and additionally palatal bone contour andmylohyoid bone contour. It also allows the surgeon to estimate theamount of bone graft material needed to regenerate the lost bone.

[0092] The method may further include the steps of positioning themodified biocompatible form 40, 60 or 70 on the resin mold over the areacorresponding to one or more missing teeth and closing the articulatorsuch that the dental stone mold 86 is disposed in close proximity to theresin mold 84 and the biocompatible form 40, 60 or 70. The method mayfurther include the step of customizing the biocompatible form 40 tofurther conform to at least a portion of the alveolar bone contours ofthe patient's edentulous ridge 30. The biocompatible form 40, 60 and 70may be further customized using dental tools such as pliers and scissorsto fit a particular patient.

[0093] The method of the present invention may be used to fabricate abiocompatible form 40, 60 or 70 having application as either anintraosseous implant or a subperiosteal implant. The method of thepresent invention may further include the steps of sandblasting theinterior channel 50 surfaces of the biocompatible form 40, 60 or 70.This includes the inner surfaces 76 of the first side 42, the secondside 44 and the connecting portion 46. These surfaces will beacid-etched to enhance the adherence of the bone graft material to thebiocompatible form 40, 60 or 70. For biocompatible forms 40, 60 or 70having an intraosseous application, the method of the present inventionmay further include the steps of sandblasting the outer surfaces 74 ofthe first side facial portion 42, the second side lingual portion 44 andthe connecting portion 46. This will also be acid-etched to enhance theadherence of the bone grafting material to the biocompatible form 40, 60and 70.

[0094] In the instances where the biocompatible forms 40, 60 and 70 isto be used for subperiosteal applications, the method of the presentinvention may further include the step of satin polishing the outersurfaces 74 of the biocompatible form 40 to enhance adherence of thepatient's oral mucosal tissue to the implant. In this embodiment, themethod of the present invention may further include the step of treatingthe second surface of the biocompatible forms 40, 60 and 70 withtitanium nitrate, for aesthetic purposes.

[0095] FIGS. 26-27 is a graphic representation of a intraosseous boneimplant 62 shown in FIG. 21. FIG. 26 shows the multiple layers for anintraosseous bone implant 62. The outer layer being the oral mucosaltissue 102. The oral mucosal tissue is retracted prior to inserting theintraosseous bone implant 62 and then re-applied to contact a membranebarrier layer 104. A membrane barrier layer 104 acts as a barrier totissue to prevent the tissue from obstructing bone healing. Thismembrane barrier layer 104 is typically absorbable and is preferablycollagen. A variety of membrane barrier layers are used with boneimplants and it is within the skills of the surgeon to select a suitablemembrane barrier layer. The membrane barrier layer 104 in anintraosseous bone implant substantially covers the bone graftedmaterial.

[0096] The next layer is the bone grafted material 80, which isoverlayed onto the biocompatible form 62 and substantially, covers thebiocompatible form 62. The next layer is the biocompatible form 62, andthen the final layer is the grafted bone material 80 within the boneimplant 62. This figure also shows a plurality of the bone tacks 110 forholding the bone graft in place into the ridge. The bone tacks aretitanium screws on tacks or a reabsorbable bone tack. FIG. 28 is across-section view of FIG. 26. It is a cross-sectional view through theinterproximal bone 26 of the bone implant 62. This figure also shows theresidual edentulous ridge 30 within the bone implant 62. Morespecifically in an intraosseous implant, a second layer of graftmaterial 80 is applied over the bone implant 62. The bone graft materialis autogenous from patient's own bone, such as the hip or from surgicalsite, and/or allographic material from artificial bone, such as cadaversor animal bones, mixed with plasma proteins and normal saline, as knownin dental arts.

[0097]FIG. 29 is a subperiostial implant. The difference between thesubperiostial and the intraosseous bone implant is the overlay of thebony graft material on top of the bone implant 62 and the surfacepreparation of the bone implant. In a subperiostial implant, as shown inFIG. 29 and cross-section view 30, a membrane barrier layer 104substantially covers a customized biocompatible form 62. Thebiocompatible form 62 contacts a layer of the patient's oral mucosaltissue 102. The biocompatible form 62 is substantially filled with bonegraft material 80. FIG. 30 also shows the edentulous ridge 30 within thebiocompatible form 62.

[0098]FIG. 31 is a representation of a surgical kit. The biocompatibleforms included in surgical kit 90 can be for either an intraosseal orfor subperiostial applications, depending on the treatment of thesurface of the biocompatible form. Consequently, two types of surgicalkits 90 are contemplated by this invention. More specifically, acustomized biocompatible form 62 may be permanently implanted in apatient's oral cavity for use in supporting the bone graft material in asubperiosteal application. A biocompatible form for use in asubperiosteal application is made of a metal mesh. The metal mesh asformed into a biocompatible form includes a first surface facing towardthe interior channel, and a second surface facing away from the interiorchannel. In a subperiosteal application, the second surface of thebiocompatible form is polished to enhance adherence of the patient'soral mucosal tissue to the biocompatible form.

[0099] In an alternative embodiment of the kit, the kit 90 includes abiocompatible form treated for use in an intraosseous application. In abiocompatible form for use in an intraosseous application, all surfacesare sand blasted and subsequently acid etched to enhance the adherenceof the bone graft material to the biocompatible form.

[0100] Each surgical kit, as shown in FIG. 31, may include biocompatibleforms 40 and 70, for a complete edentulous arch of the maxilla andmandible arch respectively. It may also include portions thereof of thecomplete arch such as anterior 64 and posterior quadrants 66 and 72 leftand right of each arch. A biocompatible form 60 for the maxilla, whichincludes the palatal mesh, may also be included. A pair of titaniummolding pliers 112 and scissors 113 are included in the surgical kit 90.A plurality of devices, such as bone screws 110, adapted to attach thebiocompatible form to the residual ridge are also included. The surgicalkit 90 is made of a sterilizable container adapted to contain variousbiocompatible forms, a pair of titanium molding pliers 112, scissors,113, and a plurality of bone screws. The surgical kit 90 can besterilized using a conventional means, such as ETO.

[0101] The biocompatible form is pre-formed to normal contours of thealveolar bone by press fitting the biocompatible forms 40, 60 or 70 to atitanium replica model of a normal endentulous ridge to replicate bonecontours. The biocompatible form 40, 60 or 70 can be cut into archquadrants and surfaces prepared. The biocompatible form 40, 60 or 70prepared for intraosseous application is totally sand blasted with smallparticles of titanium and acid etched. The subperiosteal implants undersurface is also sand blasted and acid etched and the tissue surfaces aresatin polished. The biocompatible forms 40, 60 and 70 can also betreated with titanium nitrate. They are sterilized and packaged. Thebiocompatible form 40 is made in various gauges and mesh sizes.

Example 1—Intraosseous Implant

[0102] A patient with missing teeth requires restoration. A CAT scan ofthe area to be regenerated along with its surround arch form isperformed. A computer-generated resin model of the existing bonycontours and the remaining dental arch is fabricated. The model ismounted on articulator (Whipmix®, Lexington, Ky.) with the opposingarch. The missing teeth on the resin model are positioned in a normalanatomic position to determine the amount and contours of the bone to beregenerated. Wax or other medium is applied to the resin model tosimulate the contours of the bone. The model is duplicated byconventional means. An intraosseous biocompatible form from the kitshown in FIG. 31 is selected that matches the patient. A biocompatibleform 40 or 70 for a complete edentulous arch of the maxilla or mandiblearch respectively, can be used or a biocompatible form such as 62, whichis a portion of the full arch, can be used. The surgeon selects abiocompatible form that more closely matches the needed restoration. Inthis example, a biocompatible form 40, corresponding to a full arch iscut to precise form with titanium scissors and place on the duplicatedmodel. The mesh can be recontoured with molding pliers to exactly fitthe model and the desired regenerated contours. The biocompatible form40 is sterilized by conventional means and prepared for surgicalplacement.

[0103] At the time of surgery, the tissue is reflected and graft siteprepared. The biocompatible form is filled with an autogenous and/or anallographic material such as Bio-Oss® Concellus or Bio-Oss® Contical(OsteoHealth Co., Shirley, N.Y.) and secured to prepared bony receptorsite with reabsorbable fixation pins. In this case, an intraosseoimplant, the biocompatible form is placed 1-2 mm below the actualregenerated contours to allow for placement of graph material over thetop of the biocompatible form. An absorbable collagen membrane, such asBio-Gide® (OsteoHealth, Co., Shirley, N.Y.) is placed over theintraosseo implant and tissue closed for primary healing. The graft siteis allowed to heal for six months with no pressure on the graft area.After healing is completed, dental prosthesis may be placed in theapertures.

Example 2—Subperiosteal Implant

[0104] A patient with missing teeth requires restoration. A CAT scan ofthe area to be regenerated along with its surround arch form isperformed. A computer-generated resin model of the existing bonycontours and the remaining dental arch is fabricated. The model ismounted on articulator (Whipmix®, Lexington, Ky.) with the opposingarch. The missing teeth on the resin model are positioned in a normalanatomic position to determine the amount and contours of the bone to beregenerated. Wax or other medium is applied to the resin model tosimulate the contours of the bone. The model is duplicated byconventional means. A subperiosteal biocompatible form from the kitshown in FIG. 31 is selected that matches the patient. The biocompatibleform 40 is cut to precise form with titanium scissors and place on theduplicated model. The mesh can be recontoured with molding pliers toexactly fit the model and the desired regenerated contours. Thebiocompatible form 40 is sterilized by conventional means and preparedfor surgical placement.

[0105] At the time of surgery, the tissue is reflected and grafted siteprepared. The biocompatible form is filled with autogenous and/orallographic material such as BioOss® Concellus or Bio-Oss® Conticol(OsteoHealth Co., Shirley, N.Y.) and secured to prepare bony receptorsite with titanium screws or tacks. In a subperiosteal implant, acollagen membrane, such as Bio-Gide® (OsteoHealth Co., Shirley, N.Y.) isplaced directly on the biocompatible form and the tissue closed forprimary healing. The graft site should be allowed to heal for six monthswith no pressure on the graft area. After healing is complete, dentalimplants may be placed in the designed receptor sites.

Example 3—Palatal Defect Restoration

[0106] If a patient is missing palatal bone and several teeth due tosurgery from a cancerous tumor, the procedures set out in Example 1 or 2are repeated, but with the exception of a biocompatible form 60 havingpalatal area 61 is selected from the surgical kit 90.

[0107] While the foregoing description has set forth the variousembodiments of the present invention in particular detail, it must beunderstood that numerous modifications, substitutions and changes can beundertaken without departing from the true spirit and scope of thepresent invention as defined by the ensuing claims. The invention istherefore not limited to specific preferred embodiments as described,but is only limited as defined by the following claims.

What is claimed is:
 1. A surgical kit comprising: a sterilizablecontainer adapted to contain articles; said articles comprising: abiocompatible form which may be permanently implanted in a patient'soral cavity for use in supporting bone graft material; a first sideportion, a second side portion and a connecting portion extendingbetween and interconnecting said first and second side portions, saidbiocompatible form being open opposite said connecting portion andfurther including open ends, said first and second side portions andsaid connecting portion combining to define an interior channel, saidinterior channel being sized and configured to receive at least aportion of an edentulous ridge of the patient and at least a portion ofthe bone graft material therewithin; said connecting portion includingat least one protruding portion, each of said protruding portions beingconfigured to conform substantially to a predetermined, humaninterproximal bone contour or portions thereof; a plurality of devicesadapted to attach said biocompatible form to a patient's edentulousridge; and dental tools.
 2. The surgical kit of claim I furthercomprising: a second biocompatible form which may be permanentlyimplanted in a patient's oral cavity for use in supporting bone graftmaterial; a first side portion, a second side portion and a connectingportion extending between and interconnecting said first and second sideportions, said biocompatible form being open opposite said connectingportion and further including open ends, said first and second sideportions and said connecting portion combining to define an interiorchannel, said interior channel being sized and configured to receive atleast a portion of a predetermined human mandibular edentulous ridge;said second side portion includes at least one outwardly protrudingportion, each said outwardly protruding portion being configured toconform substantially to a predetermined mylohyoid ridge bone contour.3. The surgical kit of claim 1 further comprising: a third biocompatibleform which may be permanently implanted in a patient's oral cavity foruse in supporting bone graft material, said biocompatible formcomprising: a first side portion, a second side portion and a connectingportion extending between and interconnecting said first and second sideportions, said biocompatible form being open opposite said connectingportion and further including open ends, said first and second sideportions and said connecting portion combining to define an interiorchannel, said interior channel being sized and configured to receive atleast a portion of an edentulous ridge of the patient and at least aportion of the bone graft material therewithin; said connecting portionincluding at least one protruding portion, each of said protrudingportions being configured to conform substantially to a predetermined,human interproximal bone contour; and a palatal portion integral withand extending away from second side portion, said palatal portion beingconfigured to conform substantially to a predetermined human palatalbone contour.
 4. The surgical kit of claim 1 wherein said plurality ofdevices is adapted to attach said biocompatible form to a patient'sendentulous ridge are bone tacks.
 5. The surgical kit of claim 1 whereinsaid biocompatible form is prepared for a subperiosteal application. 6.The surgical kit of claim 1 wherein said biocompatible form is preparedfor an intraosseal application.